Shadae Person, DDS in Fort Myers, FL - Medicare Dentist Provider

Shadae Person, DDS is a medicare enrolled "Dentist" provider in Fort Myers, Florida. Her current practice location is 18070 S Tamiami Trl Ste 14, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 288-7275.

Shadae Person is licensed to practice in Virginia (license number 0401415686) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326578865.

Contact Information

	Shadae Person, DDS
	18070 S Tamiami Trl Ste 14, Fort Myers, FL 33908-4602
	(239) 288-7275
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shadae Person
Gender	Female
Speciality	Dentist
Location	18070 S Tamiami Trl Ste 14, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326578865
Provider Enumeration Date: 06/18/2017
Last Update Date: 09/30/2021

Medicare PECOS Information:

PECOS PAC ID: 5890068845
Enrollment ID: I20170913002279

Medical Identifiers

Medical identifiers for Shadae Person such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326578865	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	0401415686 (Virginia)	Secondary
122300000X	Dentist	DN24803 (Florida)	Secondary
122300000X	Dentist	0401415686 (Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shadae Person is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shadae Person, DDS 18070 S Tamiami Trl Ste 14, Fort Myers, FL 33908-4602 Ph: (239) 288-7275	Shadae Person, DDS 18070 S Tamiami Trl Ste 14, Fort Myers, FL 33908-4602 Ph: (239) 288-7275

Reviews and Comments

Dentist in Fort Myers, FL

Reetane Singh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 9330 Ben C Pratt Six Mile, Cypress Parkway, Fort Myers, FL 33966 Phone: 239-337-1008
Dr. Paul Samuel Decarlo Jr., D.D.S., P.A. Dentist Medicare: Medicare Enrolled Practice Location: 47 Barkley Cir, Fort Myers, FL 33907 Phone: 239-936-5252
Dr. Shelly D King, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6900 Daniels Pkwy Ste 30, Fort Myers, FL 33912 Phone: 239-337-5464 Fax: 239-561-2742
Tyler Joseph Griffith, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6871 Daniels Pkwy Ste 100, Fort Myers, FL 33912 Phone: 239-288-0537
Dr. Tim M Verwest, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9371 Cypress Lake Dr, Suite7, Fort Myers, FL 33919 Phone: 239-482-2722 Fax: 239-482-7877
Gregory G Hill, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 45 Barkley Cir, Fort Myers, FL 33907 Phone: 239-939-0423 Fax: 239-939-4912
Dr. Edward V Chiarello, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14651 Palm Beach Blvd, Suite 101, Fort Myers, FL 33905 Phone: 239-694-9993 Fax: 239-694-9995

Shadae Person, DDS - Medicare Dentist in Fort Myers, FL